Because stomach and duodenal ulcers are so similar, describing your symptoms may prompt your doctor to assume you have a peptic ulcer, but it won’t likely help establish the kind. The doctor will do tests such as these to determine which sort of ulcer you have:
This is the most reliable test for detecting a peptic ulcer. The doctor inserted a flexible tube into your oesophagus (the tube that links your mouth and stomach), stomach, and duodenum. This enables the doctor to determine the source of the bleeding and do a bacterial infection test. Your doctor may perform a biopsy to screen for cancer during this examination.
If endoscopy isn’t an option, this test, also known as an upper GI series of X-rays, can assist your doctor in discovering the ulcer and establishing its kind and severity. It would help if you consumed a “barium milkshake,” which contains a liquid that may be seen on an X-ray. Before the test, they may urge you to consume only bland, easy-to-digest meals for 2-3 days. You lie down on a tilting medical table after sipping the chalky beverage. This uniformly distributes the barium throughout the upper digestive tract, allowing the X-ray to capture images from various angles.
Ulcers and their treatments
The medical therapy for stomach ulcers varies depending on the cause of the ulcer. If the ulcer were created by taking NSAIDs, a doctor would most likely urge the patient to cease or minimise their usage of such medications. People with pain can switch to a different medicine.
Proton-pump inhibitors (PPIs) are medications that lower stomach acid and protect the stomach lining. They cannot destroy germs, although they can aid in the treatment of an H. pylori infection. Nexium, Prilosec, and Prevacid are a few examples.
A doctor may also prescribe histamine receptor blockers. These reduce the amount of acid produced by the stomach. A doctor may also prescribe sucralfate as a protective agent (Carafate), and this aids in preventing further harm to the ulcer’s surrounding region.
A doctor may also prescribe antibiotics if an H. pylori infection causes the ulcer. Because H. pylori can be difficult to eradicate, patients must take all of their medications exactly as directed, even if their symptoms have subsided.